| NPI | 1942785068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS N/A OVERSTREET Clinical Social Worker 336-392-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |